Krames Patient Education is the only choice for enterprise-wide patient education. In this presentation, practices will learn who Krames Patient Education is and What we can do for you. We will review Patient-Centered Care and Patient Education; The Case for a Patient Education Investment, The Krames Differencet; Return on Investment; and Krames Solutions.

1. The only choice for
enterprise-wide patient education.
Patient Centered Care: Investing in a Patient Education Solution
April 1, 2010

2. Agenda
• Krames: Who we are; What we do
• What we can do for you
• Patient-Centered Care and Patient Education
• The Case for a Patient Education Investment
• The Krames Difference – Content
• Return on Investment
• Overview of Krames Solutions

3. Krames Background
• Leading p
g patient education for 35 y
years
• Who we reach:
– Over 40 million patients
– 86% of hospitals
– 80% of VA hospitals
– 1,500
1 500 corporations
– 300,000 physicians and nurses
– 150 managed care companies
g p
– Major pharmaceutical companies
– 10 International Distributors

4. What Krames Offers
• Point-of-care Patient
Education
• Patient-facing Health
Education
• Multimedia Formats
• Flexible Deployment Op o s
e b e ep oy e Options
• Content Integration
• A solution that fits your
needs
• A solution that fits your
budget
• Peace of mind

5. What Krames Can Do for You
• Improve relationships
p p
• Support shared decision making
• Improve outcomes and compliance
p p
• Help patients manage their health
• Promote your organization
• Support your Brand
• Support your Systems Investments
• Reduce Risk
• Save Time & Money
• Cut Costs

6. Patient-Centered Care
Care that is truly patient-centered considers patients’ cultural
traditions, th i personal preferences and values, th i family
t diti their l f d l their f il
situations, and their lifestyles.
It makes the patient and their loved ones an integral part of the
care team who collaborate with health care professionals in
making clinical decisions.
Patient-centered care puts responsibility for important aspects of
self-care and monitoring in patients’ hands — along with the tools
and support they need to carry out that responsibility.
When care is patient centered, unneeded and unwanted services
can be reduced.
Institute for healthcare improvement

7. Patient-Centered Care
• Patient engagement
g g
• Information Sharing
• p
Participation
• Collaboration
• Respect
• Disease management
• Motivational
• Action-Oriented
• Entire continuum of care

8. The case for investing in patient education
The healthcare industry now spends an unnecessary $73 billion per year in
hospital stays and doctors visits simply because patients don t understand what
don’t
their doctor is explaining or how to properly take prescribed medication.1
Patients remember approximately 10 percent of what they read, 25 percent of
what they hear 45 percent of what they see 65 percent of what they hear and
hear, see,
see, 70 percent of what they say and write, and 90 percent of what they say as
they perform a task.2
Of those online, 86% are concerned about the reliability of the information they
find at 25,000+ health-related websites, and 75% cite their doctor’s direction as
the most important source for guidance to quality health content.3
“Krames provides patients with clear, easy-to-understand information. The
graphics are excellent. They pinpoint all the need-to-know aspects of a
patient’s disease state. Thank you, Krames, for making education easier.” 4
1 Center on an Aging Society
2 Bateman, W.B., Kramer, E.J., & Glassman, K. S. (Eds.). New York: Springer Publishing Co., 36
3 Pew Internet and American Life Project and Cyberdialogue
4 Karen Esposito, RN, CDE, HCA

9. The case for investing in patient education
• Evaluation your sources
– Self-Producing
• Clinical time
• ROI
• Liability Risk
• Marketing Resources
– Online Websites
• Conflicting information
• Questionable sources
• Higher reading levels
• Loss of personalization

10. Health Literacy
• Poor health literacy results in $69 billion in
health care costs annually.1
• 53% of adults have intermediate health literacy.
% y
• 14% have below basic health literacy
• 27% to 30% of adults receiving Medicare and
Medicaid have below average health literacy
• Adults age 65 a d o de have lower literacy t a
du ts and older a e o e te acy than
younger adults2
1. Safeer RS & Keenan J (2005). Health Literacy: the gap between physicians and patients. American Family
Physician. August 1; 72,3:464.
2. The Health Literacy of America’s Adults. Results from the 2003 National Assessment of Adult Literacy Executive
Summary. US Department of Education. National Center for Education Statistics. NCES 2006-483.5.

11. Health Literacy
• 20% of the American p
% public cannot read above
Grade 5.3
• Most adults read between the 8th and 9th grade
level.
l l
• Most healthcare materials have been written at
or above the 10th-grade level 1
grade level.
• Visual presentations have been shown to be
43% more pe suas e t a u a ded
3% o e persuasive than unaided
presentations4
1. Horner SD & Surratt D (2000). Improving readability of patient education materials. Journal of Community Health Nursing. 17;
1.17.
11
2. Persuasion and the Role of Visual Presentation Support:The UM/3M Study. D. R. Vogel, 0. W. Dickson, and J. A. Lehman.
Management Information Systems Research Center. Working Paper Series, June 1986

12. Litigation / Malpractice Protection
• 1 in 6 physicians is subject to malpractice claims
p y j p
each year
– Higher for high-risk specialties (neurosurgery, etc)1
• Failure to obtain informed consent is among top
ten reasons for claims3
– Failure to disclose risks or alternative treatments
1. The Medical Malpractice Insurance Crisis. The Doctors Company.
http://www.thedoctors.com/KnowledgeCenter/References/CON_ID_001180.
2. Cohen, T. H. and K. A. Hughes (2007, March). Medical Malpractice Insurance Claims in Seven States, 2000 2004. NCJ 216339.
2 Cohen T H and K A Hughes (2007 March) Medical Malpractice Insurance Claims in Seven States 2000–2004 NCJ 216339
Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.
3. Glabman M. Top ten hospital malpractice claims [and how to minimize them]. Trustee. 2004; 57(2):12‐16

13. Litigation / Malpractice Protection
• 45% are unable to recall major risks1
• 44% don’t know nature of the operation2
• 60% do not understand or read the consent form3
• Patient recall after consultation is only 43%; this drops to
38% 4 to 6 weeks later.4
• Good communication is key to
effective informed consent
practice
1. Patients as partners. Joint Commission Resources, Inc, Meghan McGreevey, Jcr, 2006
2.
2 Byrne, D. J., Napier, A., & Cuschieri, A. (1988). How informed is signed consent? British Medical Journal (Clinical Research Edition), 296(6625):839
Byrne D J Napier A & Cuschieri A (1988) How informed is signed consent? British Medical Journal (Clinical Research Edition) 296(6625):839‐
840.
3. Parker, R. (2000). Health literacy: A challenge for American patients and their health care providers. Health Promotion International, 15(4), 277‐283.
4. Herz DA, Looman JE, Lewis SK. Informed consent: is it a myth? Neurosurgery. 1992;30:453-8

14. Promotion
• Website content
– Desired by patients
– Improves p p
p preparation
– Improves compliance
– Promotes your facility
– Generates referrals
• Content Makes a Difference
– Patient engagement
– Better communication
– Better experience
– Loyalty and Referrals

15. Additional Factors Influencing Patient Education
• Focus on preventative
care
– ARRA provides
$1 Billion in funding for
prevention and
wellness programs10

16. Additional Factors Influencing Patient Education
• Increased adoption of healthcare IT
p
– $19 Billion in financial incentives to aid in the adoption
of HIT10
• Focus on greener operations across the entire
facility
–I
Increasing need f an electronic solution
i d for l t i l ti

17. A Complete Multimedia Education Solution

18. Krames Difference: A Higher Standard of Content
• Content developed in-house
p
• Extensive Development Process
• Health Literacy Awareness
– 5th to 8th grade reading levels
– Suitability Assessment of Materials
– Comprehensive yet digestible
• Highly Illustrated
• Peer Reviewed
• Award-Winning

19. Krames Text
• Focuses on key
information
• Main point receives
primary position and most
space
• Uses simple, concrete
words
• Breaks information into
small, logical pieces
• Provides step-by-step
instructions
• Gives practical tips to
improve daily lives

20. Krames Difference: A Higher Standard of Content
Krames unique approach to educational art highlights and
promotes key education points while being less likely to
distract attention away from the key health message.
Anatomical Art Lifestyle Art Procedural Art

21. Krames Artwork
Krames award-winning artwork, over 27,000 images, creates
unique art-text synergy that makes Krames patient education more
effective and easier to comprehend.

22. Krames Difference: A Higher Standard of Content

23. Quality saves you money
• Krames content gives you all of this:
• Physicians, nurses and other
healthcare professionals for
p
expert consultation and review
• Writers and designers trained in
the principles of health literacy
and behavior change
• Illustrators, including at least
one who specializes in medical
illustration
• Medical dit
M di l editors, graphic artists,
hi ti t
and production managers
• A project manager to
coordinate schedules and build
consensus

24. Customer Surveys

25. Customer Surveys

26. Krames customer survey

27. Krames customer survey
• It makes it easier for patients to understand because
p
they can look at the pictures as I explain.
• It helps create a dialog and provides for a better
question and answer period by bringing up other
questions they may not have considered
• A home reference…helps p p patients remember what
they’ve been told.
• Saves time by shortening the time spent answering
basic,
basic common questions
questions.
• Increases the comfort level and satisfaction of
p
patients and shows y care.
you
• Makes my life easier.

28. Krames patient survey

29. Krames Electronic Patient Education Solutions

30. • Improve patient experience
• Decision support
• Break down language barriers
• Streamline workflow
• Support informed consent
• Improve quality of care
• Enhance perception
• Build loyalty and trust
y y
• Cut costs
• Help mitigate risk

31. • 3000 HealthSheets on
Conditions, Procedures, and
Wellness
• 2000 Drug Information Sheets
g
• 3,000 additional after-care
instructions
• Every handout in English and
Spanish
• Hundreds of topics in 8
additional l
dditi l languages
• Highly Illustrated
• 5th to 8th grade reading level
• Written to support health
literacy

32. • Simple interface
• Quickly search or
browse for content
• Manage content in
g
folders to save time
and standardize care
• Personalize sheets for
the patient
• Facility logo on every
printout
• Editing tool
• Web-based, hosted by
Krames
• Optional EMR Interface

33. Krames HealthSheets: Largest
Patient Education Library
• 3,085
3 085 English • 10 Armenian
• 3,085 Spanish • 10 Hmong
• 387 Russian • 10 Farsi
• 387 Chinese • 10 Tagalog
• 387 Vi t
Vietnamese • 10 Korean

34. • Drive web traffic
• Reach a diverse audience
• Support your brand
• Build loyalty
• Extend your reach
• Generate referrals
G f
• Improve competitive edge
• Ensure consistency and
standardization
• Support informed consent
pp

35. • Hundreds of streaming
videos
id
• 3,000 Education topics
• 2,000 Drug g
Information pages
• Interactive Disease
Management tools
• All content in English
and Spanish
• Attractive, intuitive
,
interface
• Customization options
• Easy implementation

36. Video and illustrated articles on dozens of the
most commonly searched health topics, including:
• Pregnancy • Herpes
• Cancer • HIV
• Flu • Anxiety
• Depression
p • Stroke
• Diabetes • Cholesterol
• Addiction • Hypertension
*Pew Internet and American Life Project and Cyberdialogue

37. • Same great benefits of
Krames On-Demand
or Krames Online
• Save even more time
• Support systems
pp y
investment
• Flexible delivery
options
• Content for EMR, HIS,
Intranet, Internet

38. • 3,000 Healthsheets
,
• 3,000 After-Care
instructions
• 400+ Videos
• XML, HTML, RTF
• CPT ICD-9
CPT, ICD 9
• MeSH
• Tools for viewing, editing
viewing editing,
and managing content

39. • Save hours of clinical time
• Connect with a wider
audience
• Decision support
– Dozens of procedural videos
• Support informed consent
• Improve communication
• Improve the perception of
your facility
• Enhance your patient safety
initiatives

40. • Enhance your website
• Engage a wider audience
• Help patients prepare
• Make a positive, lasting
impression
• Build loyalty
• Generate referrals
• Reach diverse audience

41. • Streaming video for point of care
or your website
• Available in all streaming formats
• Flexible package options
• Pre-digitized formats for CCTV
• DVD
• Over 430 videos to choose from
• Multi-lingual
g
• Largest and most current video
library available
• P t over 360 videos on your site
Put id it
with Krames Online!

42. • Largest & Youngest Library
g g y
– 30 – 40 new annually
– 30 – 40 updates annually
• Right Length
– 3 – 15 minutes (avg. 6 min)
– Syncs with learning/retention
abilities
• Evidence-based and peer-
reviewed
• Multiple Formats
– Windows Media
– Quick Time
– .mpeg1, .mpeg2, .mpeg4
– Flash

43. Krames Video Solutions: Largest
Patient Education Library
• 252 English • 5 Mandarin
• 112 Spanish • 5 Cantonese
• 25 Polish • 5 Japanese
• 10 Arabic • 5 Russian
• 4 Vietnamese

44. • Standardized, automated
informed consent solution
i f d t l ti
• Easy, intuitive interface for
consent form preparation
• Seamlessly integrates form
preparation with patient
education on procedures
• Trusted, high-quality
content from Krames
• Web-based – easy access
with no h
ith heavy IT b dburden

45. • Reduce exposure to
p
malpractice litigation
• Simplify & standardize
consent form preparation
and documentation
• Enhance communication
and ease patient fears
• Cut costs by employing an
affordable, standardized
solution
l ti
• Provide consent forms
that facilitate
communication.

46. • 200 illustrated patient education topics on key
procedures
• Many medical specialty areas covered
y p y
Anesthesia Orthopaedic
Cardiac Surgery Surgery
Gastroenterology Otolaryngology
General Surgery Pulmonology
Gynecologic Radiology
Surgery Thoracic Surgery
Hematology Urology
Neurosurgery Vascular Surgery
Obstetrics

47. • Unique interactive
workbooks
kb k
– Asthma
– Heart Disease
– Heart Failure
H t F il
– Diabetes
– COPD
• Multimedia format
• Comprehensive content
• Easy to use

48. • Support disease management
programs and community
outreach efforts
• Build a relationship with the
patient
• Promote lifestyle changes
• Effectively engage patients
• Accommodate diverse learning
styles
• Support your brand and
differentiate your organization
• Demonstrate your commitment
y
to preventative care
• Show your patients you care
about their health

49. Patients remember approximately 10 percent of what they read, 25 percent of what they
hear, 45 percent of what they see, 65 percent of what they hear and see, 70 percent of what
they say and write, and 90 percent of what they say as they perform a task.2
Multimedia format includes:
– Online viewing
– Online viewing with audio
– Printable pdfs (support
tools, l
t l logs, t k )
trackers)
– Videos
– Narrated Animation
Sequences (of physiology
and disease process)
– End-of-chapter quizzes

50. • Specialty-specific patient
education for websites
• Packages of Page Turning
Booklets (flash) and videos
• Orthopedics Package – 54
booklets, 37 videos
• Cardiology Package – 47
booklets, 22 videos
• Fast, Easy Setup
• Affordable
ff
• Coming Soon – General
g y
Surgery
• Base Package – 10 booklets,
5 videos

51. • Promote your practice,
y p ,
clinic, or surgery center
• Support shared decision
making
ki
• Increase Patient
Satisfaction
• Drive Referrals
• Access a robust patient
education library from
your website

52. Krames helps support patient-centered care
• Improve relationships
p p
• Support shared decision making
• Improve outcomes and compliance
p p
• Help patients manage their health
• Promote your organization
• Support your Brand
• Support your Systems Investments
• Reduce Risk
• Save Time & Money
• Cut Costs

53. Thank You!